⚡ Quick Actions
New Patient Intake Form
Standard intake form for all new PI patients. Includes accident details, insurance info, and medical history sections.
NF-2 Application (No-Fault)
NYS no-fault benefits application. Must be filed within 30 days of accident. Pre-filled with MAIC provider info.
Medical Records Authorization
HIPAA-compliant authorization for release of medical records to attorneys and insurance companies.
Lien Letter Template
Standard medical lien letter for attorney cases. Includes MAIC letterhead, provider info, and lien terms.
Verification of Treatment Letter
Confirms patient is under active care at MAIC. Used for insurance, attorney, and employer verification.
Assignment of Benefits (AOB)
Patient authorization for MAIC to bill and collect directly from insurance carrier.
Internal Referral Form
Inter-specialty referral form for routing patients between MAIC departments (chiro → PT, PT → pain mgmt, etc.).
Missed Appointment Letter
Standard letter for patients who miss appointments. Documents compliance gaps for insurance and legal purposes.
New Patient Intake Workflow
Step-by-step: from first call → scheduling → intake forms → initial eval → treatment plan → attorney notification.
No-Fault Billing Process
Complete NF-2 filing workflow, pre-authorization requests, denial appeal process, and IME preparation.
24-Hour Documentation Protocol
How we deliver reports to attorneys within 24 hours. Includes causation narrative format, review checklist, and delivery process.
Attorney Referral Intake
Handling new referrals from attorney partners: verification, priority scheduling, case tracking, and feedback loop.
Workers Comp Workflow
WC-specific intake, C-4 form filing, employer notification, IME scheduling, and return-to-work documentation.
Front Desk Phone Scripts
Call scripts for new patient inquiries, scheduling, insurance verification, and attorney office calls.
eClinicalWorks Documentation Guide
How to document visits in eCW for PI compliance: required fields, causation language, objective findings, and progress notes.
No-Fault Insurance Guide
Complete reference for NY no-fault: PIP coverage limits ($50K), qualifying injuries, filing deadlines, and common denial reasons.
30-Day Rule Quick Reference
One-page reference on the 30-day no-fault deadline. What counts as "seeking treatment," exceptions, and how to document compliance.
Insurance Verification Cheat Sheet
Phone numbers, portals, and processes for verifying coverage with major no-fault carriers (Geico, State Farm, Progressive, Allstate, etc.).
Denial Appeal Letter Template
Template for appealing insurance claim denials. Includes medical necessity language and supporting documentation checklist.
Pre-Authorization Request Form
Standard pre-auth request for MRI, advanced imaging, and specialty procedures under no-fault and WC.
IME Preparation Guide
How to prepare patients for Independent Medical Examinations. What to expect, patient rights, and documentation to have ready.
HIPAA Compliance Guide
MAIC HIPAA policies, patient privacy rights, minimum necessary standard, and breach notification procedures.
Article 28 Compliance Reference
NYSDOH Article 28 facility requirements, inspection preparation, and ongoing compliance obligations.
Subpoena & Records Request Process
How to handle subpoenas, attorney records requests, and court-ordered document production. Response timelines and authorization requirements.
Causation Narrative Template
Standard format for causation narratives: mechanism of injury, clinical findings, causal relationship statement, and prognosis.
Common PI ICD-10 Codes
Quick reference for most-used ICD-10 codes in personal injury: whiplash, cervical/lumbar strains, radiculopathy, disc herniations, TBI, fractures.
Treatment Frequency Guidelines
Recommended visit frequency by condition and phase of care. Supports medical necessity documentation for insurance.
New Staff Onboarding Checklist
Day 1 through Week 4 onboarding checklist: systems access, training modules, shadowing schedule, and compliance requirements.
MAIC Facility Overview
60,000 sq ft facility guide: department locations, specialty teams, equipment, and operational hours. For new staff orientation.